Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.92 / $1,022.34 / $7,439.00	Facility		$625.92	$1,022.34	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.92 / $724.00 / $997.00	Facility		$625.92	$724.00	$997.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,558.18 / $5,819.45 / $16,394.00	Facility		$3,558.18	$5,819.45	$16,394.00